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Ccm Supervisor Jobs (NOW HIRING)

Pre-Authorization Unit Supervisor

Manhattan, NY ยท On-site

$101K - $126K/yr

The supervisor in this position is responsible for the oversight of the overall day to day ... CCM preferred * Knowledge of InterQual preferred. * Knowledge of Federal and State regulatory ...

The supervisor in this position is responsible for the oversight of the overall day to day ... CCM preferred * Knowledge of InterQual preferred. * Knowledge of Federal and State regulatory ...

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Ccm Supervisor information

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How much do ccm supervisor jobs pay per year?

As of Sep 9, 2026, the average yearly pay for ccm supervisor in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

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For Ccm Supervisor jobs, the most frequently searched job titles are:

Pre-Authorization Unit Supervisor

Manhattan, NY โ€ข On-site

MJHS
Health Care and Social Assistanceย โ€ขย 1 - 5K employees

$101K - $126K/yr

Full-time

Re-posted 26 days ago


Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

The supervisor in this position is responsible for the oversight of the overall day to day functioning of the MLTC/DSNP pre-authorization functions. The supervisorโ€™s daily oversight includes reviewing data to monitor regulatory requirements (standard/expedited time frames, org determination outcomes and communication, inter-rater reliability), provides direction for complex cases, monitors pending cases, reviews and educates staff on new criteria trends (including InterQual, local carrier policy, national coverage determinations), and acts as a liaison with interdepartmental communication. 

  • Graduate of an accredited nursing program: baccalaureate degree preferred.
  • Minimum one to three years' previous management experience preferred.
  • Previous managed care experience in the areas of utilization management and/or case management preferred.
  • Minimum one year nursing practice in clinical settings, i.e. hospital, nursing facility or home health.
  • Licensed to practice as a Registered Nurse in the state of New York with current registration.
  • CCM preferred
  • Knowledge of InterQual preferred.
  • Knowledge of Federal and State regulatory requirements for managed care.

MJHS logo

About MJHS

Sourced by ZipRecruiter

Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care (Isabella & Menorah Center), and the research-based MJHS Institute for Innovation in Palliative Care. We also offer health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible, in part, through support to the MJHS Foundation. The generosity of grateful families, private and corporate donors and grants, as well as our own employees, support our specialized services not reimbursed by government programs or private insurance.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1907

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